MELINDAS GUARDIAN ANGEL PERSONAL CARE HOME (NPI# 1841504511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841504511 |
Entity Type | Organization |
Organization Name | MELINDAS GUARDIAN ANGEL PERSONAL CARE HOME |
Practice Address |
593 Eighth St Statham GA 30666-1830 |
Mailing Address |
1301 Dianne Way Winder GA 30680-5621 |
Practice Telephone | 7707257407 |
Practice Fax Number | 6789632761 |
Mailing Telephone | 6785582116 |
Mailing Fax Number | 6789632761 |
Enumeration Date | 2010-08-04 |
Last Update Date | 2010-08-04 |
Authorized Official Name | MS. KAREN MECHELLE DELANEY (ADMINISTRATOR) |
Authorized Official Telephone | 6785582116 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 007010311 | GA | Residential Treatment Facilities |
Street Address |
593 EIGHTH ST |
City | STATHAM |
State | GA |
Zip Code | 30666-1830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689857195 | Statham Family Practice PC | Family Medicine | 1906 Railroad St, Suite C, Statham, GA 30666 | 2007-12-07 |
1447442959 | Statham Medical Clinic | General Practice | 337 Jefferson St., Statham, GA 30666 | 2007-08-17 |
1487703245 | Felipe Reyes Musngi | Family Medicine | 337 Jefferson Street, Statham, GA 30666 | 2007-01-10 |
1962402461 | Steven Alan Durocher | Emergency Medicine | 1906 Railroad Street, Ste C, Statham Family Practice, PC, Statham, GA 30666 | 2005-07-26 |
1639530868 | Statham City Pharmacy LLC | Pharmacy | 333 Jefferson St, Statham, GA 30666 | 2016-03-16 |
1356792337 | Matthew Fitzpatrick | Pharmacist | 1860 High Green Dr, Statham, GA 30666-1673 | 2016-06-30 |
1164844296 | Statham City Pharmacy | Pharmacy | 333 Jefferson St, Statham, GA 30666-1710 | 2014-01-08 |
1770522674 | Barrow-statham Pharmacy | Pharmacist | 333 Jefferson St, Statham, GA 30666-1710 | 2006-06-06 |
1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
1760511943 | David R. Epps | Pharmacist | 1918 Railroad St, Statham, GA 30666-1875 | 2007-03-05 |
Find all providers in zip 30666 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
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1417561747 | Georgia Regional Health LLC | Community Based Residential Treatment Facility, Mental Illness | 1211 Waterville Ct, Alpharetta, GA 30022-5381 | 2020-09-03 |
1275161192 | Monte Nido Georgia LLC | Community Based Residential Treatment Facility, Mental Illness | 124 Johnson Ferry Rd Ne, Sandy Springs, GA 30328-3004 | 2020-03-27 |
1811464035 | Hope Homes Recovery, LLC | Community Based Residential Treatment Facility, Mental Illness | 432 Virginia Rd, Atlanta, GA 30338-4793 | 2018-10-25 |
1770066029 | New Beginnings PCh of Columbus, LLC | Community Based Residential Treatment Facility, Mental Illness | 639 Lawyers Ln, Columbus, GA 31906-3812 | 2018-09-12 |
1588140859 | Butterfly Development, LLC | Community Based Residential Treatment Facility, Mental Illness | 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 | 2018-07-19 |
1326555210 | Clayton Center Mhaddd | Community Based Residential Treatment Facility, Mental Illness | 5930 Highway 85 Unit 101, Riverdale, GA 30274-1502 | 2018-01-02 |
1245747138 | Clayton Center Mhaddd | Community Based Residential Treatment Facility, Mental Illness | 5930 Highway 85 Unit 104, Riverdale, GA 30274-1502 | 2018-01-02 |
1235646217 | Clayton Center Mhaddd | Community Based Residential Treatment Facility, Mental Illness | 5930 Highway 85 Unit 401, Riverdale, GA 30274-1502 | 2017-12-29 |
1528574431 | House of Concrete Roses, LLC | Community Based Residential Treatment Facility, Mental Illness | 1133 Huff Rd Nw Apt 766, Atlanta, GA 30318-4327 | 2017-12-15 |
1508391756 | Mister Life Coach | Community Based Residential Treatment Facility, Mental Illness | 3681 N Decatur Rd Apt R11, Decatur, GA 30032-1062 | 2017-04-25 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.